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学习在初级保健中应对不确定性:一个范围的文献综述

Nick P Gardner¹, Gerard J Gormley², Grainne P Kearney²

¹Centre for Medical Education, Queen's University Belfast, Whitla Medical Building, Belfast, Northern Ireland n.gardner@qub.ac.uk.

|December 14, 2023

概括

本范围审查审查审查了医疗学员如何学习在初级保健机构管理临床不确定性. 调查结果强调了不确定性.

科学领域:

医学教育医学教育
初级保健研究研究初级保健研究
临床不确定性临床不确定性

背景情况:

临床实践本质上涉及不确定性,与初级保健相比,初级保健独特地管理了它.
现有的文献评论侧重于教育环境和中等保健中的不确定性,在了解初级保健学习方面留下了差距.
医学学生和在培训中医生的学习过程在初级保健中处于不确定状态,并没有得到很好的定义.

研究的目的:

探索关于初级保健的现有知识,作为一个学习环境,以应对临床不确定性.
确定医疗学员如何培养在初级保健背景下管理模两可的技能.

主要方法:

对英语文章进行了全面的范围审查.
在Embase,MEDLINE和Web of Science数据库中进行搜索,并通过引用搜索来补充.
包括专注于医学学生/在培训中的医生和初级保健机构的临床不确定性的研究;应用了专题分析.

主要成果:

分析了36项研究,揭示了三个关键主题:不确定性在职业身份形成 (PIF) 中的作用,适应性反应和不适应性行为.
关系和社会因素显著影响PIF.
适应性反应包括调整认识体系期望和参与共享决策 (SDM).

结论:

教师在指导学员通过社会化和讨论初级保健认识论,通过不确定性至关重要.
识别和解决不适应性行为对于有效的学习至关重要.
培养一种支持对不确定性的建设性反应的文化是专业发展的关键.

关键词:

教育,医学教育,医疗教育.一般的做法一般的做法.初级医疗保健是主要的医疗保健.不确定性是一种不确定性.

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